| NPI | 1124855341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24519537) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 229012) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-08-27 |